Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $512.86 / $512.86	Facility		$223.87	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $223.87	Professional		$128.82	$151.36	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $741.31	Professional		$194.98	$229.09	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $954.99	Facility		$512.86	$602.56	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $575.44	Professional		$213.80	$467.74	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $776.25 / $1,174.90	Facility		$204.17	$776.25	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Professional		$1,122.02	$1,122.02	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $645.65	Facility		$165.96	$223.87	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $912.01	Professional		$83.18	$112.20	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $186.21	Professional		$50.12	$64.57	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $602.56	Professional		$302.00	$436.52	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $870.96 / $870.96	Facility		$371.54	$870.96	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $741.31 / $912.01	Professional		$269.15	$741.31	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,000.00 / $1,412.54	Professional		$537.03	$1,000.00	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $223.87	Facility		$147.91	$147.91	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $309.03	Professional		$77.62	$112.20	$309.03